Transforming Maternal Health (TMaH) Model
Active
- Assistance listing
- 93.869
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Grant awards
- 15 $144,557,244 in federal obligations
Program facts
- Also known as
- TMaH
- Assistance type
-
- Cooperative Agreement
- Treasury account
-
- 75-0522-0-1-551
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) is funding state Medicaid agencies to implement the Transforming Maternal Health (TMaH) Model, a 10-year service delivery and payment transformation targeting Medicaid and CHIP enrollees, CFDA 93.869, with the most recent awards issued on January 14, 2025.
The TMaH Model funds state-level implementation of evidence-informed maternal health interventions paired with value-based payment reforms. Funded activities include expanding access to certified midwifery, doula, and community health worker services; building data infrastructure for perinatal care coordination and maternal health outcome tracking; reducing service gaps through screening, risk assessment, referral, and follow-up; expanding whole-person care delivery via home monitoring, home visiting, mobile clinics, group prenatal care, and telehealth; and restructuring Medicaid reimbursement rates and payment models to incentivize provider performance on maternal and infant health outcomes. Recipients also implement evidence-based standards of care, patient-safety bundles, and quality improvement initiatives targeting low-risk cesarean section rates, severe maternal morbidity, low birthweight incidence, and postpartum care experience.
The program is entirely composed of Cooperative Agreements. CMS is the sole funding agency, having awarded 15 cooperative agreements totaling $144.6 million in federal dollars obligated as of January 2025. Award amounts range from $3.7 million to $20 million over the 10-year project period, with recent recipients including Arkansas ($7 million), Louisiana ($5 million), Minnesota ($20 million), Maine ($18.7 million), District of Columbia ($18 million), West Virginia ($10 million), and South Carolina ($9 million).
Applicants must be state Medicaid agencies proposing either statewide or substate regional implementation in areas with an average of no fewer than 1,000 annual births between 2015–2020. The prior grant opportunity, CMS-2N2-25-001, posted June 11, 2024, with a September 20, 2024 due date, offered up to $17 million per state over 10 years for up to 15 state Medicaid agencies, representing a total potential investment of $255 million. No current open opportunities are posted in the source material.
Objective and description
- Objective
The Transforming Maternal Heath (TMaH) Model is a voluntary, 10-year service delivery and payment model designed to improve maternal health care outcomes for people enrolled in Medicaid and the Children's Health Insurance Program (CHIP). The TMaH Mod
- Description
The TMaH Model will test whether targeted technical assistance, coupled with payment and delivery system reforms, can drive a whole-person care-delivery approach to pregnancy, childbirth, and postpartum care while reducing Medicaid and CHIP program expenditures.
Eligibility
- Applicant eligibility
State Requirements - An applicant to this NOFO must propose to implement the Model statewide or in a substate region specified by ZIP codes, in which the average number of annual births between 2015-2020 was no fewer than 1000.
- Beneficiary eligibility
Pregnant or postpartum (up to 12 months) people who are Medicaid beneficiaries within the service areas. Pregnant or postpartum (up to 12 months) people who are CHIP beneficiaries within the service areas will be eligible in some states.
- Uses of assistance
Cooperative Agreement funding will support the following activities: • Grow midwifery workforce and expand birth center access • Provide doula service benefits • Improve Data Infrastructure and Interoperability • Design a Payment Model • Support Hospitals to attain Birthing Friendly Hospital Designation • Implement AIM patient safety bundles • Risk assess and screen, refer and follow-up for perinatal depression, anxiety, tobacco use, substance use disorder, and HRSN • Home monitoring for hypertension and diabetes • Health Equity Planning • Increase Access to remote patient monitoring. • Expand group perinatal care • Promote Shared Decision-Making • Extend Medicaid Coverage to 12 months postpartum
- Length and time phasing of assistance
The estimated period of performance is 10 years. Funding for each year after Model Year 1 will be issued via non-competing continuation awards, contingent on SMA progress in meeting project goals and objectives, timely submission of required data and reports, and compliance with all terms and conditions of award.
How to apply
- Criteria for selecting proposals
See Section E. Application Review Information of the TMaH Notice of Funding Opportunity
- Award procedure
All qualified applications will be forwarded to a merit review committee. The results of the merit review of the applications by qualified experts will be used to advise the CMS approving official. In making these decisions, the CMS approving official will take into consideration: recommendations of the review panel; the readiness of the applicant to conduct the work required; the scope of overall projected impact on the aims; reviews for programmatic and grants management compliance; the reasonableness of the estimated cost to the government and anticipated results; and the likelihood that the proposed project will result in the benefits expected. Notification is made in writing by a Notice of Award (NoA).
- Deadlines
11:59pm EST August 30, 2024 (Baltimore, MD)
- Time to approval or disapproval
Application review period will take approximately 60 business days
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Transforming Maternal Health (TMaH) Model | Closed |
Grant awards
Latest 10 of 15 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Minnesota Department Of Human Services | $20,000,000 | 14% |
| 2 | Maine Department Of Health And Human Services | $18,671,644 | 13% |
| 3 | Department Of Health Care Finance | $17,999,996 | 12% |
| 4 | West Virginia Dept Of Human Services | $10,000,000 | 7% |
| 5 | Department Of Health Human Services | $9,000,000 | 6% |
| 6 | New Jersey Department Of Human Services | $9,000,000 | 6% |
| 7 | Kansas Department Of Health & Environment | $8,942,441 | 6% |
| 8 | Illinois Department Of Healthcare & Family Services | $8,000,000 | 6% |
| 9 | California Department Of Health Care Services | $7,527,047 | 5% |
| 10 | Arkansas Department Of Human Services | $7,000,000 | 5% |
10 of 15 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $82,853,165 |
| FY2025 | $59,704,077 |
| FY2012 | $1,353,968 |
| FY2011 | $1,359,974 |
| FY2010 | $1,400,132 |
Quick answers
What is Assistance Listing 93.869?
Assistance Listing 93.869 is Transforming Maternal Health (TMaH) Model, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).
What is the CFDA number for Transforming Maternal Health (TMaH) Model?
Its CFDA number is 93.869: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.869 awarded?
15 grant awards under 93.869 have obligated $144,557,244 in federal funds to 15 recipients.
Who receives the most funding from 93.869?
The recipients obligated the most under Transforming Maternal Health (TMaH) Model are Minnesota Department Of Human Services ($20,000,000), Maine Department Of Health And Human Services ($18,671,644) and Department Of Health Care Finance ($17,999,996).
How much did 93.869 obligate in fiscal year 2025?
Grants under 93.869 obligated $59,704,077 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.869?
No opportunity listed under 93.869 is open now. The latest, Transforming Maternal Health (TMaH) Model, was posted on June 11, 2024.
On GovTribe
See this program's full record
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